See Bleeding; Wounds. ...
Take B D current. Place N. P., long cord, upon the lumbar ver...
The Journey Down The Food Tube
The Flow of Saliva and Appetite Juice. We are now ready to st...
The patient is quite helpless, and there is usually a strong s...
Precautions To Be Observed
As long as compensation is complete, there are no medication ...
For this, rub the whole back with soap lather (see Lather; Soa...
See Consumption. ...
Strangulation Or Hanging
Often accidentally caused in children or intoxicated persons. ...
A most effective preventive and cure for this is the inhaling ...
Period Of Desquamation Or Peeling-off
About the sixth or seventh day, the epidermis, or cuticle of ...
It may be proper, in this place, to spend a few words upon el...
Next to those most dangerous forms--most dangerous, because t...
Instructions To The Patient
Before beginning endoscopy the patient should be told that h...
Torpid Reaction Asthenic
The more violent the contagious poison, and the weaker the or...
Muscular Action Weak
The heart is the most important of all muscles. Sometimes the ...
Foreign Bodies In The Larynx And Tracheobronchial Tree
The protective reflexes preventing the entrance of foreign bo...
A mother who has had strength to bear a child is, as a rule, q...
As mentioned above, bronchial aspiration is often necessary....
This is a disease of the skin, producing redness, burning and...
Various affections of the eyeball muscles cause this. To cure ...
Source: Disturbances Of The Heart
If a chronic endocarditis has followed an acute condition, some
slight permanent papillomas or warty growths may he left from the
healed granulating or ulcerated surfaces. Sometimes these little
elevations on the valves become inflamed and then adhere together,
or adhere to the wall of the heart, and thus incapacitate a valve.
Sometimes these excrescences undergo partial fatty degeneration, or
may take on calcareous changes and thus stiffen a valve.
If the chronic inflammation is not superimposed on an acute
endocarditis there may be no cell infiltration and therefore no
softening, but there is a tendency to develop a fibrillated
structure, and a fibroid thickening of the endocardium occurs,
especially around the valves. This induration causes contraction and
narrowing of the orifices with shortening and thickening of the
chordae tendineae, and the valves imperfectly open, or no longer
close. Fatty degeneration may occur in the papillary growths with
necrotic changes, and this may lead to the formation of atheromatous
ulcers which may later become covered with lime deposits, and then a
hard calcareous ring may form. Fibrin readily deposits on this
calcareous substance and may form a permanent capping, or may slowly
disintegrate and allow fragments to fly off into the blood stream
and cause more or less serious embolic obstruction. If this chronic
endocarditis develops with a general arteriosclerosis, the wine
inflammation soon occurs in the aorta, and, following the
endarteritis in the aorta, atheromatous deposits may also occur
there. Chronic endocarditis of the walls of the heart, not in
immediate continuity with endocarditis of the valves, is perhaps not
liable to occur, except with myocarditis.
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